Retreat Registration - Silent Meditation & Mindfulness Retreat, Melbourne, Victoria

Meditation & Mindfulness Retreat

Registration Form

Select A Retreat?

Name

First Name

Last Name

Date Of Birth

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

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Email Address

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone

(###)

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Will a friend or family member be attending this retreat as well?

If yes write Name(s) and Relationship.

People are welcome to come with friends, family and as couples. The main thing to consider is it's a Silent Retreat and to respect this by not engaging in conversation with your friend, partner or family member. To benefit most from a silent retreat, a strong commitment to the process is required. Primarily it's about the individual's process (resting quietly inwards) and not continually relating with others (verbally or non-verbally).

Please briefly outline any previous experience you've had with meditation, retreats, yoga and spiritual practice?

We will be providing vegetarian meals. Do you have any other dietary requirements? Please list:

Do you have any physical conditions that may affect meditation or yoga practice?

Do you have any emotional/ mental conditions or circumstances that may affect your retreat experience?

Do you take any medication? If so please list:

Are you able to bring your own yoga mat?

Please double check the information you have given. Especially the Retreat that you want to attend. Please check your Spam Folder if you don’t receive a reply within 48 hours. To confirm this booking a deposit of $100 per person is required. The deposit secures your place. Please pay by Direct Deposit. Account Name: One Heart Projects. BSB: 062-692. AC#: 79640428. Please email Aruna (arunagiri68@gmail.com) when you have done this. Please check website for our refund policy (on bottom of Retreat page). All information gathered will be kept strictly confidential. For any extra comments please write below. It's great to have you coming along. Thank you!

MBSI

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